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Individual

DR. NICK N PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
70 N COUNTRY RD STE 101, PORT JEFFERSON, NY 11777-2161
(631) 473-0037
(631) 473-0228
Mailing address
45 RESEARCH WAY STE 105, EAST SETAUKET, NY 11733-6401
(631) 675-2624
(631) 675-2125

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
246771
NY
207RP1001X
Pulmonary Disease Physician
Primary
246771
NY

Other

Enumeration date
01/09/2008
Last updated
04/29/2022
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